Having reached my half century in December, I was quite pleased to consider that I had hopefully twenty more years before reaching my biblical three score and ten years, at which time I loose much interest in surviving longer!
Well I received two letters inviting me for a check-up by a practice nurse at my GP's. The first was quite polite, and the second was urgent to the point of being peremptory. Both must have cost a £1 to print and post. That much is a waste in itself, but more to the point so is a pre-emptory check-up.
As anyone with half a lifetime's experience will tell you, you can formulate the most detailed of plans for the future, and life stands a very fine chance of completely overturning such well laid schemes!
I have a plan that is more general. I plan to enjoy life till Nature decides it is time. I do not plan to live to great old age, and if it happens then I will stoically bear the cross, but I would rather go after a relatively short final illness earlier even than the average ...
Thus I have zero intention of giving up smoking, beer, wodka, wine, or fine two day Polish Parties!
I know Doctors mean well, but what on Earth gives them the right to think that they know better than me what is good for me. Surely enjoyment of life that hurts nobody else on a daily basis is worth a King's Ransom compared to surviving into double incontinence and ten years of increasingly horrible senile dementia.
My point is that Doctors would have us continue to increase the average lifespan without any apparent consideration for the quality of life for an increasingly long period in the latter part of it. I dislike the notion that somehow they should seek to advise me on what is correct. I dislike even more so that they should invite me to see them unbidden. I last attended a doctor for something other than an accidental injury over a decade ago, and at that only twice in my life.
If I were to pass away tonight, then I would be happy in the sense that I have achieved everything I could possible hope to within the skill set I have been lucky enough to inherit. I don't ask for any other apart from the normal daily pleasures, and I am not so greedy to want those indefinitely!
I have declined the chance of a second appointment for the check-up having been so busy at work as to be unable to make the first appointment, though I did let the Surgery know in timely fashion.
Do others agree with me that Doctors are far too willing to mind the business of others in a way that would not acceptable to most people today from Priests for example?
ATB from George
Posted on: 24 March 2012 by Geoff P
Ah how viewpoint changes over time.
As one who is staring down a short 2 year road to reach George's 'three score years and ten' it is no longer a milestone in my thoughts. I have adjusted the figure up to 'four score years'. Well bloody hell you have to have some targets to aim for in life.
Of course I seem to be blessed with good health which allows me the pleasure of walking through the surrounding forests in the the dappled sunshine while a large chunk of humanity still labours away for a crust ( oh and to pay some of my pension). I seem to have done about 70 Kms so far this week and it was all pleasure.
I have to admit the fact that this could in part be due to giving up 40 years of on / off smoking 12 years ago, reducing alcohol intake to the occasional glass of red, loosing 20 Kg of fat, and getting into gentle daily exercise does seem reasonable to conclude. Especially coupled to the doctors identifying an hereditary Cholesterol problem which is now under control ( it was up at around 12 at one point  .
I know I am lucky in that the old lump off grey matter remains quite functional and the family tree seems to have some long lived genes in it. It allows me the luxury of being around to enjoy my grandson and ooh and aah over the first pictures of his little sister who has just arrived. Two of quite a long lists of reasons why I think differently about how long I want to live NOW from say ten years ago when I had already passed George's current status and did identify a little with his viewpoint.
So...Doctors and their skills and health advice are duly appreciated by me The fact that some of it appeared to take away the 'pleasures' George details has turned out to be not at all onerous especially for the reasons given above.
Ending on a more controversial thought. I have hopes that Euthanasia will have its place in the treatment options by the time I could wish to call for it via a living will.
For now I am happy to call upon the medical profession and readily attend their advised health checkups. Thats it. Its another sunny day.... must get out there.
regards
Geoff
Posted on: 24 March 2012 by Mick P
Geoff
That was an excellent post and it just goes to show that the best person to manage your health is you, but by taking advice from the experts. If you want to ignore the Doctors, then expect a poxy old age.
I have managed to lose about 5lbs in weight just by skipping desserts and cutting out the ludicrous amounts of restaurants that I used to visit. Also I had the sense to quit smoking cigars in 1986 (seven King Edwads each and every day) and that did marvels for my stamina.
My cholesterol levels have gone from 6.4 down to 3.9 thanks to a daily statin and my stress levels are zero thanks to a good retirement pension fund.
Old age / retirement is what you make it and all it requires is advance planning and a bit of self discipline.
Regards
Mick
Posted on: 25 March 2012 by George Fredrik
That was nearly thirty years ago, and yes I would take all the painkillers necessary in a final illness - nothing inconsistent in that.
I would not go in for surgery, chemo, or radio for example, but I'd make sure that I had a sufficient supply of pain relief. I have certainly paid for that.
On the other hand it is so long since I last had some painkillers that I did not realise Co proxamol was withdrawn, which itself tells a truth.
ATB from George
Posted on: 26 March 2012 by backfromoz
In one of todays papers was an article on why did the NHS spend so much time on the young footballer who had a massive cardiac arrest. EG ressus at least 6 times and massive investment in money and time.
Yet if this happened to an 85 year old not as much effort would be expended or cost invested.
Simple really one is young and supremely fit and had an undiagnosed cardiac condition.
The other is ancient and has many pathologies which are likely to destroy that persons quality of life after several goes at resus.
Also on the radio today they are saying people will live to 110 as a norm in 30 years.
I agree with Clarkson if you can have 30 years as a 20 year old fine. But not 30 years as an 80 year old.
David
Posted on: 26 March 2012 by Bruce Woodhouse
As someone who spends lots of time with the elderly I'd suggest Clarkson and others might like to wait until they have reached those ages themselves before passing judgement on how they find it, and indeed what they would like to happen to them when they are old.
The evidence that we will live significantly longer in future is actually quite poor. What seems to be more likely (in developed countries at least) is that more people will live more often to an advanced age. In other words the average longevity will rise slightly because the 'spread' of the population age at death will actually narrow. S more of us can expect to reach a good age, but not so many can anticipate becoming extremely elderly. This improvement in health is because of social change, living conditions, lifestyle, employment etc with a relatively small contributon from modern medicine.
Several people in this thread seem to suggest that medicine is about adding years to life without life to years as if this is an 'either/or' judgement. That is simply not the case, and in fact adding quality of life for people with chronic or previously seriously debilitating illness is a major success of modern healthcare as is reducing the risks of 'events' such as childbirth.
Age itself is not (and should never be) an arbiter of when agressive Rx as opposed to palliative Rx is the correct plan for an individual. Decisions are made about when to withdraw/reduce Rx based on patient choice, situation, co-pathology and a host of other things. I have patients in their 70's for whom a new hip would be inapropriate or unwanted, others in late 80's who would get great value from the procedure.
Bruce
PS Rx = treatment! Medical shorthand alert, sorry.